Individual
SHANTANETTE PATRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
55 NEW DUDLEY ST, JOHN D OBRYANT SBHC, ROXBURY, MA 02119
(617) 534-9940
(617) 534-9948
Mailing address
1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118
(617) 534-2398
(617) 534-4688
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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